Individual
TANESHA M FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 BJ LEGINS ST, SPARTANBURG, SC 29301-2138
(864) 913-5214
Mailing address
114 BJ LEGINS ST, SPARTANBURG, SC 29301-2138
(864) 913-5214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10180
SC
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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